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nc�£rer�rcrn � V O N ST R U CT I O R - <br /> �,1, �F , - <br /> everett PERMIT PERMIT NO. �-�623 <br /> CITY MALL 259�67d5 <br /> EVERETf,WA9B201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01VNER MAILADDRESS CITY ZIP PMONE <br /> Reynold DS. s Janet M. Karr 9706 171st Avenue S.E. Snohomish 98290 568-2431 � <br /> ARLNITECi OA OESIGHEP <br /> MAIL PODPE55 CITY ZIP GNONE <br /> GENERnLCONTRACtOR MAILAOORESS GITY 21P PMONE ULENSE� <br /> Same <br /> MECMRNICALGONiRACTOR MAIL AD�PE55 CITY 21P PNONE LICENSE� <br /> PLUMBING LONTRACTON <br /> MAIL n00RE55 CITY ZiP PMONE UCENSE� <br /> CLA55 OF WORN <br /> O NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ,�DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INS <br /> VALIIRT10N OF WOHK <br /> f <br /> pESGRIBE WORK <br /> Demolish single family residence <br /> PROPOSEDUSEOF BUILDING I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br /> single family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �EGALOESCPIPiIONOFPROPERTYISMOWBELOWORATTACMFOUPCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> . 2q-�5 732 Everett Division H GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_ LOCN�OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PEFMIT DOES N07 PRESUMETO GIVE AUTHORITYTO VIOLATE <br /> OR CANCEL THE PFOVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERF ANCE OF CONSTRUCTION. oare <br /> JOB AO�RE55 SIGN URE F CONTFR TOR OR FUTHORRE NT <br /> 3116 Norton Avenue X 10/28/83 <br /> PLUMBING MECH ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) AIR COND.UNITS—H.P.EA. <br /> BATNTUB REFRIGERATION UNITS— H.P.EA. <br /> LAVATORY�J�'ASHBASIN) BOILERS— M.P.FA. <br /> SMOWER GAS FIRED A.C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK S OISP. FORCEO AIR SYSTEMS— B.T.U. M EA. <br /> DISMWASHER WALL HEATERS— B.T.0 M <br /> - LAUNDRY TRAV UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WqTER HEATER CLOTHES DRYERS <br /> URINAL VENTIIATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> MEAT PUMP <br /> SUB TOTAL S SUB TOTAL S _ <br /> PEflMIT S PERMIT 5 <br /> TOTAL FEE S TOTAL iEE f <br /> SIOE YAflD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CMECK NUMBER PLAN CMECK FEE <br /> FEI: RECEIPT NO. <br /> I�SE ZONE LOT AREA VACANT SITE FEES \'ALUATION FEE <br /> .�.YES �.�.NO <br /> TVPE Of CONST. OCCUPANGY GROUP NO.OF DWELLING UNITS <br /> BUILDING 5 OO OO <br /> SIZE OF tlLDG. N0.OF STORIES MA%.OCC.LOAD p�UMBING <br /> FIREZONE BASEMENT qE0U5PED KLERS MECHANICAL <br /> " YES NO <br /> APPPOVALS BY DATE <br /> OTMER <br /> 1.ENVIRONMENTAL CNECK LIST PENALTV U.B.C. <br /> SEC.307(a� <br /> 2.BUILDINGPLANS T�TA� OO OO <br /> 3.FIRE HYORANT <br /> d.FIREPROTECTIONSYSTEM PERMITVALIDRTION ���� �� 8�.�� N <br /> WMEN PROPERLY VALIDATED�1N TH �THI I Y IL <br /> 5.GRADING <br /> 6.DRAINAGE � <br /> 7.ENVIRONMENTAL IMPACT STATEMENT � N <br /> B.MEAITHDISTRICT ;��J �� �f: 1\ECEIPT � <br /> APPLICPTION ALC.BY PLANS LHECKEO BY APPR.FOR ISSUANCE BY ���j�� '�� v K Y l.'U <br /> 1 � cct 83 <br /> ADDRESS RLF <br />